Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $71.56 / $71.56	Facility		$71.56	$71.56	$71.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $67.23 / $71.56	Professional		$26.52	$67.23	$71.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.08 / $71.08 / $71.08	Professional		$71.08	$71.08	$71.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219,999.78 / $539,999.46 / $949,999.05	Facility		$219,999.78	$539,999.46	$949,999.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $101.52 / $112.80	Professional		$76.70	$101.52	$112.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $111.06	Facility		$88.85	$88.85	$111.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $88.85 / $115.51	Professional		$88.85	$88.85	$115.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $59.47 / $69.80	Professional		$43.41	$59.47	$69.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $81.73 / $81.73	Professional		$81.73	$81.73	$81.73
United Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $42.34 / $63.26	Professional		$26.59	$42.34	$63.26